Prolonged institutional rearing is associated with atypically large amygdala volume and difficulties in emotion regulation

Early adversity, for example poor caregiving, can have profound effects on emotional development. Orphanage rearing, even in the best circumstances, lies outside of the bounds of a species-typical caregiving environment. The long-term effects of this early adversity on the neurobiological development associated with socio-emotional behaviors are not well understood. Seventy-eight children, who include those who have experienced orphanage care and a comparison group, were assessed. Magnetic resonance imaging (MRI) was used to measure volumes of whole brain and limbic structures (e.g. amygdala, hippocampus). Emotion regulation was assessed with an emotional go-nogo paradigm, and anxiety and internalizing behaviors were assessed using the Screen for Child Anxiety Related Emotional Disorders, the Child Behavior Checklist, and a structured clinical interview. Late adoption was associated with larger corrected amygdala volumes, poorer emotion regulation, and increased anxiety. Although more than 50% of the children who experienced orphanage rearing met criteria for a psychiatric disorder, with a third having an anxiety disorder, the group differences observed in amygdala volume were not driven by the presence of an anxiety disorder. The findings are consistent with previous reports describing negative effects of prolonged orphanage care on emotional behavior and with animal models that show long-term changes in the amygdala and emotional behavior following early postnatal stress. These changes in limbic circuitry may underlie residual emotional and social problems experienced by children who have been internationally adopted.     

“But I Like My Body”: Positive body image characteristics and a holistic model for young-adult women

Extant body image research has provided a rich understanding of negative body image but a rather underdeveloped depiction of positive body image. Thus, this study used Grounded Theory to analyze interviews from 15 college women classified as having positive body image and five body image experts. Many characteristics of positive body image emerged, including appreciating the unique beauty and functionality of their body, filtering information (e.g., appearance commentary, media ideals) in a body-protective manner, defining beauty broadly, and highlighting their body's assets while minimizing perceived imperfections. A holistic model emerged: when women processed mostly positive and rejected negative source information, their body investment decreased and body evaluation became more positive, illustrating the fluidity of body image. Women reciprocally influenced these sources (e.g., mentoring others to love their bodies, surrounding themselves with others who promote body acceptance, taking care of their health), which, in turn, promoted increased positive source information.     

Creating a Mentally Healthy Community Through the Use of Behavioral Health Indicators

Recent decades have seen the development of robust systems of community health indicators, but those indicator sets tend to have few indicators related to behavioral health. Gauging community behavioral health can be complex, but given the interconnectedness of health and behavioral health and the high social and financial cost of unaddressed behavioral health needs, it is essential to develop meaningful indicators. A community-based participatory research project in Austin, Texas developed behavioral health indicators based on a review of social indicators movements across the globe, existing sets of proposed key indicators of mental health and mental illness, and ongoing community initiatives in Austin relevant to behavioral health. The community behavioral health indicators have been refined through the challenging process of implementing them in the face of competing efforts and imprecise communication about their use. While indicators should always be adapted to suit local conditions, this indicator set should provide a good starting point for researchers and communities to assess and improve the behavioral health of their community.     

Empirically derived ability-achievement subtypes in a clinical sample.

The purpose of the present study was to identify reliable and clinically meaningful patterns of ability and achievement using the WISC-III and WIAT. Cluster analysis was used to group the 182 WISC-III and WIAT profiles (10 WISC-III subtests and 4 WIAT subtests) of children between the ages of 9 and 14 years. Theoretical and empirical considerations were used to identify a cluster solution, which involved comparison of several five-, six- and eight-cluster solutions. A five-cluster solution was selected as being representative of the data, which was well replicated across three hierarchical clustering methods (i.e., complete linkage, average linkage-within groups, and average linkage-between groups (UPGMA)). The clusters were labeled based on their most salient characteristics, which included a group of predominantly low ability and achievement, a group demonstrating a pattern of verbal processing deficits, a group demonstrating a pattern of visual spatial/processing speed deficits, a group with low ability and achievement with average processing speed, and a group with deficits consistent with an ACID pattern. The external validity of the five subtypes was assessed through an evaluation of the relationship between cluster membership and neuropsychological test data. Most predictions regarding neuropsychological performance were supported by the data, providing further evidence of the validity of the five-cluster solution. Clinical implications of the ability-achievement typology and suggestions for future research are discussed.     

Directionality of the Association Between Social Support and Posttraumatic Stress Disorder: A Longitudinal Investigation1

This study examined the nature of the association between social support and posttraumatic stress disorder (PTSD) symptomatology among 2,249 male veterans of the 1990‐1991 Gulf War. Using structural equation modeling, a cross‐lagged panel analysis indicated a strong negative relationship between PTSD at Time 1 and social support at Time 2, while social support at Time 1 did not predict PTSD at Time 2. Findings suggest that, over time, interpersonal problems associated with PTSD may have a detrimental influence on the quality and quantity of available social support resources. It is recommended that greater focus be placed on the interpersonal skills of those suffering from PTSD.     

Agency and observation in knowledge of one's own thinking

This essay addresses the question how we know our conscious thinking. Conscious thinking typically takes the form of a series of discrete episodes that constitute a complex cognitive activity. We must distinguish the discrete episodes of thinking in which a particular content is represented in phenomenal consciousness and is present “before the mind's eye” from the extended activities of which these episodes form a part. The extended activities are themselves contentful and we have first‐person access to them. But because their content is not represented in phenomenal consciousness, this access cannot be broadly observational. Instead, I argue, it is agential. Furthermore, that extended activities are intentional explains the possibility of a nonobservational form of introspective access to the discrete episodes in consciousness.     

Empowering communities through social media

Multicultural competence is a cornerstone of modern day counseling psychology. The new multicultural and social justice competencies highlight the integration of social justice and multicultural frameworks. These competencies include community engagement through social justice advocacy. Social media may be one way to advocate for social justice for underserved or marginalized communities. Social media networks impact in the Arab Spring and the 2016 United States (U.S.) Presidential election suggests that people may utilize social media to inform and act on their social or political views. Throughout this article, we will explore the benefits of social media for raising critical consciousness, as defined by Freire, and examine how counseling psychologists can utilize social media to engage in social justice advocacy in diverse communities.     

Assessing the Development of Inflated Responsibility Beliefs: The Pathways to Inflated Responsibility Beliefs Scale

Inflated responsibility beliefs are hypothesized to be a central feature of obsessive-compulsive disorder (OCD; Rachman, 1998, 2002; Salkovskis, 1985), but the etiology of these beliefs remains untested. Salkovskis and colleagues (1999) proposed 5 primary pathways to the development of inflated responsibility beliefs (e.g., heightened responsibility as a child, exposure to rigid and extreme codes of conduct as a child). The current paper presents 2 studies developing a self-report measure—the Pathways to Inflated Responsibility Beliefs Scale (PIRBS)—of these hypothesized pathways. In the first study, an initial version of the scale is developed and the number of items are reduced. In the second study, the revised scale is shown to provide a reasonable match to the proposed structure and to have good internal consistency, retest reliability, and convergent and divergent validity. These initial data suggest that the PIRBS may be useful for studying the etiology of inflated responsibility beliefs that are hypothesized to be central to the development of OCD. Limitations and future directions are discussed.     

Going beyond the evidence: abstract laws and preschoolers' responses to anomalous data

Given minimal evidence about novel objects, children might learn only relationships among the specific entities, or they might make a more abstract inference, positing classes of entities and the relations that hold among those classes. Here we show that preschoolers (mean: 57 months) can use sparse data about perceptually unique objects to infer abstract physical causal laws. These newly inferred abstract laws were robust to potentially anomalous evidence; in the face of apparent counter-evidence, children (correctly) posited the existence of an unobserved object rather than revise the abstract laws. This suggests that children's ability to learn robust, abstract principles does not depend on extensive prior experience but can occur rapidly, on-line, and in tandem with inferences about specific relations.     

Family-of-origin maltreatment, posttraumatic stress disorder symptoms, social information processing deficits, and relationship abuse perpetration

In this study, the authors examined the interrelations among family-of-origin maltreatment variables, posttraumatic stress disorder (PTSD) symptoms, social information processing deficits, and male-to-female psychological and physical intimate relationship abuse perpetration in adulthood among a community sample of 164 men and their partners. In bivariate analyses, higher family-of-origin childhood parental rejection was associated with the perpetration of psychological and physical abuse in adulthood, and childhood exposure to interparental violence was also associated with adult psychological abuse perpetration. Structural equation modeling analyses indicated that when childhood variables and other study variables were considered together, only childhood parental rejection was associated with the abuse perpetration outcomes, and these effects were indirect through PTSD symptoms and social information processing deficits. Results indicate a need for further investigation into the mechanisms accounting for the impact of early maltreatment on the development of abusive intimate relationship behavior.